The Development of a Care Model for Psychiatric patients from drug abuse with violent behavior of The Chronic Care Model

Abstract

     This action research aimed to study the development process and patient care outcomes, for Psychiatric patients from drug abuse with violent behavior of the Chronic Care Model, Renu Nakhon District, Nakhon Phanom Province. Sample size were 30 drug-induced psychiatric patients with violent behavior. Tools used to collect data include a severe aggressive behavior assessment form, a risk factor assessment form for recurrent mental illness, a mental symptom assessment form, and a follow-up form for chronic psychiatric patients at risk in the community. Data analysis: general information, aggressive behavior assessment form Assessment of risk factors for recurrent psychotic symptoms using numbers and percentages, assessment of mental symptoms Analyzed using average values. standard deviation Compare before-after Participate in activities with Pair t-test statistics, a form of tracking chronic psychiatric patients at risk in the community. Analyzed using average values. and standard deviation
     The results of the study found that After participating in the mental symptom assessment activity, the risk of committing violence decreased from a high level to a low level (=59.80, SD=9.423), (=23.43, SD=6.010) are significantly different at the .05 level. Results of following up on psychiatric patients from drugs in the community (10 areas) in terms of mental symptoms. Illness had an average score in the range of no psychotic symptoms (=1.55, SD .328) Other aspects had the highest average scores in the top 3 areas: 1) Occupation (=2.10, SD .631) 2 ) in the area of drug use (cigarettes/alcohol/drugs) (=1.99, SD .470) and 3) basic learning ability (=1.64, SD .444) respectively.